Individual
ETHAN SCOTT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1538 CHARLESTON AVE., HUNTINGTON, WV 25701
(304) 696-7302
Mailing address
5101 US ROUTE 60, HURRICANE, WV 25526-6738
(304) 421-5793
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WV
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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